Now, my public health issue is dealing with diabetes as a cultural health issue in my community of African American such as Nigerian, Cameroonians, Ghanaians, etc. that are parts and parcel of Hyattsville, MD (a Prince Georg’s County city).3, 4 So, applying PPM to Culturally Adapted Health Care for Diabetics (CAHCD) in my community; Social assessment I have been able to identify the lack of cultural diversity (frowned upon the use of non-traditional medicines) when it comes to health care needs, especially combating diabetes.5, 6, and 7 Epidemiological assessment Also, the epidemiology of diabetes as a health issue is so significant that over 55% of the community are affected, and 81% of the 55% are on diabetic monitoring lab test called HbA1c.3, 4, and 5 Therefore, we plan to reduce diabetes control in PG County to 45 percent by December 2018.1, 3, 4, and 5 Encourage healthy eating and exercise three time a week by incentivizing community gyms and private health clubs indefinitely.13

1. Culturally Adapted Health Care for Diabetics in
Prince George’s County, MD
A PRECEDE-PROCEED Planning Model

2. • ADHG (5 staff
members) will
Partner with PH
officials, CDC, and
government/private
CBO’s for a
successful CAHCD.
(1, 3, 4, 5, 6, 7, 10, 11,
12)
• Hire a PM. (6, 10, 13,
14)
• Canvass at MSA to
influence them with
CAHCD by June
2017. (5, 6, 10, and 11)
• Raise awareness
about CAHCD
through public
forums. (5, 6, 10, and
11)
• Partner with CBO and
REACH in my
community for
collaboration and
effective CAHCD. (12,
13, and 14)
Reduction in
Diabetes due to
cultural diversity
in Health care. (5,
6, and 7)
• Use TV, Radio to raise
awareness for 8
months. (1, 3, 4, and 5)
• Town hall meeting
/week for 8months. (1,
3, 4, and 5)
• Prevalence rate will be
reduced to 8,000 by
Dec.2017.(6, 7)
• Pass out evidence-
based flyers to HCP
and HI company about
herbal medicine.(6,7)
Diabetes monitoring
reduced to 35% by
Dec. 2018. (1, 3, 4,
and 5)
Phase 5
Administrative and
Policy Assessment
Phase 4
Educational and
Ecological
Assessment
Phase 3
Behavioral and
Environmental
Assessment
Phase 1
Social
Assessment
Phase 2
Epidemiologic
Assessment
• Implement CAHCD as
part of MHSA. (5, 6, 7,
10, 11, 12, and 13)
• ADHG will partner
with Community Coach
(Attica Scott) to help
with resources and
roadmaps for a
successful CAHCD. (12,
13, and 14)
• Incentivize HCP to
provide regular HbA1c
test to Diabetes
Population. (12)
• Incentivize diabetic
population to join health
clubs and gyms.(12)
• Show evidence of
CAHC has worked
with other health
issues. (6, 12)
Please check notes for
abbreviations

3. References:
1. Crosby R, Noar SM. What is a planning model? an introduction to PRECEDE-PROCEED. J Public Health Dent. 2011;71: S7-S15. From
https://une.idm.oclc.org/login?url=http://search.proquest.com.une.idm.oclc.org/docview/1554499442?accountid=12756. Doi: http://dx.doi.org.une.idm.oclc.org/10.1111/j.1752-7325.2011.00235.x.
Accessed March 20, 2016.
2. Binkley CJ, Johnson KW. Application of the PRECEDE-PROCEED Planning Model in Designing an Oral Health Strategy. Journal of theory and practice of dental public health. 2013;1(3):
From http://www.sharmilachatterjee.com/ojs-2.3.8/index.php/JTPDPH/article/view/89. Accessed March 20, 2016.
3. City of Hyattsville. A world within a walking distance. From http://hyattsville.org/. Accessed March 20, 2016.
4. United States Census. Quick Facts Beta United States. From http://www.census.gov/quickfacts/table/PST045214/00,2441250. Accessed March 20, 2016.
5. Robert Wood Johnson Foundation Program. County Health Rankings and Roadmaps: Health Factors; Diabetic Monitoring. From
http://www.countyhealthrankings.org/app/maryland/2015/measure/factors/7/data. Accessed March 20, 2016.
6. Pottie K, Hadi A, Chen J, Welch V, Hawthorne K. Realist review to understand the efficacy of culturally appropriate diabetes education programs. Diabetic Medicine. 2013;30(9):1017-25.
7. Oreagba IA, Oshikoya KA, Amachree M. Herbal medicine use among urban residents in Lagos, Nigeria. BMC Complementary and Alternative Medicine. 2011; 11:117.
http://search.proquest.com/docview/914173337?accountid=12756. Doi: http://dx.doi.org/10.1186/1472-6882-11-117. Accessed March 20, 2016.
8. Minkler M, Wallerstein N. Introduction to Community-based participatory research: New issues and emphases. Community-based participatory research for health; from process to outcomes.
2nd Ed. San Francisco, CA: Josey-Bass; 2008:47-66.
9. Department of Health and Mental Hygiene. Programs. From http://dhmh.maryland.gov/Pages/programs.aspx. Accessed March 20, 2016.
10. House Bill 767. Maryland Health Security Act of 2010. From http://mlis.state.md.us/2010rs/billfile/HB0767.htm. Accessed March 21, 2016.
11. Senate Bill 388. Maryland Health Security Act of 2011. From http://www.pnhp.org/sites/default/files/docs/2011/Maryland-Health-Security-Act.pdf. Accessed March 21, 2016.
12. Creamer J, Attridge M, Ramsden M, et al. Culturally appropriate health education for type 2 diabetes in ethnic minority groups: An updated Cochrane review of randomized controlled
trials. Diabetic Med. 2016;33(2):169-183. https://une.idm.oclc.org/login?url=http://search.proquest.com.une.idm.oclc.org/docview/1757615114?accountid=12756. Doi:
http://dx.doi.org.une.idm.oclc.org/10.1111/dme.12865. Accessed March 22, 2016.
13. Robert Wood Johnson Foundation Program. County Health Rankings and Roadmaps: Community-based social support for physical activity. From
http://www.countyhealthrankings.org/policies/community-based-social-support-physical-activity. Accessed March 22, 2016.
14. CDC. Division of Community Health (DCH): Making Healthy Living Easier; REACH 2014 Awardees. From http://www.cdc.gov/nccdphp/dch/programs/reach/current_programs/reach.html.
Accessed March 22, 2016.